Individual
CODY M WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR ANALYST
Contact information
Practice address
1905 MONTANA DR STE 10, SPRINGFIELD, IL 62704-7009
(847) 465-9556
Mailing address
991 OAK CREEK DR, LOMBARD, IL 60148-6408
(847) 465-9556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-85348
IL
Other
Enumeration date
09/18/2023
Last updated
11/10/2025
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